Individual provider Active NPI

Priyanka Grover, MBBS

  • Diagnostic Radiology Physician
  • Sunrise, FL
National Provider Identifier
1194987057
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME118896 Issued in FL
Practice address
8397 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone
(954) 998-1887
Fax
(954) 440-0902
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN12641 FL
Diagnostic Radiology Physician 2085R0202X ME118896 FL Primary

Addresses

Primary practice location

8397 W Oakland Park Blvd
Sunrise, FL 33351-7307

Mailing address

8397 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 998-1887

Other identifiers 5

IdentifierTypeStateIssuer
4820492OtherFLAETNA
014225500MedicaidFL
5456376OtherFLCIGNA
P01397023OtherFLRR MEDICARE
14Z24OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141106001969 FL Practitioner - Diagnostic Radiology 4981826906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Women's Imaging Institute LLCGroup PAC ID 7719212448, 3 clinicians

Practice addresses (Care Compare)

8397 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 998-1887

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME118896FLMDDiagnostic Radiology Physician
TRN12641FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince May 7, 2018 Accepting new patients
Women's Imaging Institute, LLC Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
Baptist Outpatient Services Inc CurrentSince May 7, 2018 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8930 W State Road 84
Ste 124
Davie, FL 33324

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

3 SW 129th Ave
Ste 101102
Pembroke Pines, FL 33027
Phone (954) 852-3831

8397 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 741-5000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1194987057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8397 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-998-1887",
            "fax_number": "954-440-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8397 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-998-1887",
            "fax_number": "954-440-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "PRIYANKA",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN12641",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME118896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4820492",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014225500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5456376",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01397023",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Z24",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.